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Complaint Investigation

Claremont Heights Post Acute

April 28, 2025 · Claremont, CA · 590 S. Indian Hill Blvd.
Citations 2
CMS Rating 2/5
Beds 99
Provider ID 055344
Healthcare Facility
Claremont Heights Post Acute
Claremont, CA  ·  View full profile →
Inspection Summary

CLAREMONT HEIGHTS POST ACUTE in CLAREMONT, CA — inspection on April 28, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF580
Minimal harm or resident 9 was on Clozapine and Depakote (valproic acid, a psychotropic medication used to treat mood Some (blood tests). affected

During a review of Resident 9 ' s Minimum Data Set (MDS, a resident assessment tool), dated 3/30/2025, the MDS indicated Resident 9 was severely impaired in cognitive skills (ability to make daily decisions).

The MDS indicated Resident 9 required partial/moderate (helper does less than half the effort) from staff for bathing and toileting hygiene.

The MDS indicated Resident 9 required substantial/maximal assistance (helper does more than half the effort) assistance from staff for lower body dressing.

The MDS indicated Resident 9 received psychotropic medications.

During a review of Resident 9 ' s Order Summary Report (OSR), dated 4/28/2025, the OSR indicated Resident 9 had physician orders for:

1.

Complete blood count (CBC, a group of blood tests that measure the number and size of the different cells in your blood) every Monday due to (d/t) Clozapine (a psychotropic medication used to treat Schizophrenia) use every Monday.

The order date was 12/31/2024.

2.

Valproic acid (a psychotropic medication used to treat mood swings) level on every Wednesday.

The order date was 3/26/2025.

055344

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055344 B.

Wing 04/28/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Claremont Heights Post Acute 590 S.

Indian Hill Blvd.

Claremont, CA 91711

During a review of Resident 9 ' s Minimum Data Set (MDS, a resident assessment tool), dated 3/30/2025, the MDS indicated Resident 9 was severely impaired in cognitive skills (ability to make daily decisions).

The MDS indicated Resident 9 required partial/moderate (helper does less than half the effort) from staff for bathing and toileting hygiene.

The MDS indicated Resident 9 required substantial/maximal assistance (helper does more than half the effort) assistance from staff for lower body dressing.

The MDS indicated Resident 9 received psychotropic medications.

During a review of Resident 9 ' s Order Summary Report (OSR), dated 4/28/2025, the OSR indicated Resident 9 had physician orders for:

1.

Complete blood count (CBC, a group of blood tests that measure the number and size of the different cells in your blood) every Monday due to (d/t) Clozapine (a psychotropic medication used to treat Schizophrenia) use every Monday.

The order date was 12/31/2024.

2.

Valproic acid (a psychotropic medication used to treat mood swings) level on every Wednesday.

The order date was 3/26/2025.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

055344

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055344 B.

Wing 04/28/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Claremont Heights Post Acute 590 S.

Indian Hill Blvd.

Claremont, CA 91711

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CLAREMONT, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CLAREMONT HEIGHTS POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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